Obstetric quality assurance to reduce maternal and fetal mortality in Kano and Kaduna State hospitals in Nigeria
| Autor: | R. Zinser, Oladapo Shittu, Wolfgang Künzel, Stefanie Adams, M. Gruhl, Hadiza S Galadanci |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Pediatrics
medicine.medical_specialty Quality Assurance Health Care media_common.quotation_subject Population Nigeria Developing country Pregnancy Hygiene Environmental health medicine Humans Quality of care Obstetrics and Gynecology Department Hospital education Equipment and Supplies Hospital media_common education.field_of_study Data collection business.industry Data Collection Mortality rate Obstetrics and Gynecology General Medicine Millennium Development Goals Delivery Obstetric medicine.disease Maternal Mortality Standardized mortality ratio Fetal Mortality Fetal outcome Female Northern nigeria business Quality assurance |
| Zdroj: | International Journal of Gynecology & Obstetrics. 114:23-28 |
| ISSN: | 0020-7292 |
| Popis: | Objective To achieve Millennium Development Goals 4 and 5 in Nigeria, a quality assurance project in obstetrics in 10 hospitals in northern Nigeria was established to improve maternal and fetal outcome. Methods The project commenced in January 2008 with assessment and improvement of the structure of the 10 hospitals. Continuous maternal and fetal data collection and analysis were conducted from 2008 to 2009 by means of a maternity record book and structured monthly summary form. The quality of hospital infrastructure and equipment was also assessed. Results The mean maternal mortality ratio (MMR) was reduced from 1790 per 100 000 births in the first half of 2008 to 940 per 100 000 births in the second half of 2009. The average fetal mortality ratio (FMR) decreased slightly from 84.9 to 83.5 per 1000 births. There was an inversely proportional relationship between the total number of deliveries in a hospital and MMR and FMR. There was a close correlation between the MMR and the equipment status and hygiene conditions of the hospitals. Conclusion Continuous monitoring of quality assurance in maternity units raised the awareness of the quality of obstetric performance and improved the quality of care provided, thereby improving MMR. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text